PMID: 11313217Apr 21, 2001Paper

Epigastric sensations as an unusual manifestation of adult absence epilepsy

Epileptic Disorders : International Epilepsy Journal with Videotape
R WiestF Donati

Abstract

We report the case of a 39-year-old woman with onset of daily epigastric sensations associated with brief episodes of unresponsive blank stare, which have been interpreted as complex partial seizures with occasional secondary generalisation. Phenytoin as monotherapy and in combination with valproate had not been effective. During video-EEG we recorded typical absences with brief 3 second spike, and slow-wave discharges of up to 5 seconds, which were recognized by the patient herself. All absences were preceded by epigastric sensations. There was no indication of focal epilepsy. Monotherapy with valproate substantially decreased the frequency of the absences. In conclusion, this case is peculiar for several reasons: 1) late onset of absence epilepsy, 2) epigastric sensation at onset of absence seizures, 3) recognition of brief "phantom" absences and 4) presumable adverse effects of phenytoin.

Related Concepts

Related Feeds

Absence Epilepsy

Absence epilepsy is a common seizure disorder in children which can produce chronic psychosocial sequelae. Discover the latest research on absence epilepsies here.

Related Papers

Clinical EEG (electroencephalography)
B BaykanA Gökyiğit
Epileptic Disorders : International Epilepsy Journal with Videotape
C P PanayiotopoulosS Sanders
Epilepsy & Behavior : E&B
Thomas DietlMartin Kurthen
Journal of Child Neurology
Puneet JainSatinder Aneja
© 2021 Meta ULC. All rights reserved